Provider Demographics
NPI:1932816162
Name:AGYEMANG, ESTHER BLESSED (APRN)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:BLESSED
Last Name:AGYEMANG
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770-2845
Mailing Address - Country:US
Mailing Address - Phone:347-731-8420
Mailing Address - Fax:203-577-5336
Practice Address - Street 1:577 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770-2845
Practice Address - Country:US
Practice Address - Phone:347-731-8420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-27
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11513363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily